Factors Related to Cervical Cancer Screening Results by HPV DNA test Sisaket Province

Abstract

Background: Infection with the Human Papillomavirus (HPV) is an important cause of cervical cancer. If not detected or treated early the cancer has spread from the cervix to the genitals and tissue surrounding the uterus. It then spreads to the lymph nodes and pelvis. This results in abnormal functioning of the kidneys, bladder, liver, and lungs. and eventually cause the patient to die.
Objective: To study the relationship between patient factors (age, pregnancy, childbirth, miscarriage, smoking, drinking alcohol, surgery, birth control, menstruation, LBC results, biopsy results, body mass index and congenital diseases) and HPV DNA test results
Study design: Retrospective study
Methods: The population is 5,250 patients undergoing cervical cancer screening. Research tools were a data recording form obtained from medical records that contains age, pregnancy, childbirth, miscarriage, smoking, drinking alcohol, surgery, birth control, menstruation, LBC, biopsy results, body mass index, and congenital disease. Statistics using general data were numbers, percentages, averages, minimum and maximum values. Studies on the correlation analysis of variables. Statistical analyses were Chi Square Test, Phi correlation, Cramer'V and Contingency Coefficient.
Results:1) The average age of patients was 47.5 years. The youngest was 19 years old. The oldest was 77 years old. 47.7% of patients had been pregnant. 47.5% had previously given birth. 4.2% had miscarriages. 47.5% had children. 18.4% of patients used birth control. 44.6% of patients still had their periods.
2) HPV DNA test results were positive for 5.5 percent. Biopsy results were adenocarcinoma 0.3% and squamous cell carcinoma 0.4%. LBC test results were abnormal cells 4.0%. Body mass index of cervical cancer patients averaged 23.4.
3) The study of the relationship of HPV DNA test results found that patients with a positive test result It is related to the patient's age, patients who have given birth, patients with children and patients who are still menstruating statistically significant (p<0.05).
Conclusion: Patients with a positive HPV DNA test were more likely to be found in patients over 30 years of age and patients who have given birth, patients with children and patients who are still menstruating significantly.